1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Pediatrics
  6. NPI Profile

LYNNETTE MARIE JOHNSON DO
NPI 1629238704
Pediatrics - Neonatal-Perinatal Medicine in Rochester, NY

Active since June 12, 2008PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(808) 433-6345 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Jul 17, 2023 (2 updates tracked since 2023).

About Lynnette Marie Johnson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNNETTE MARIE JOHNSON DO (NPI 1629238704) is an individual neonatal-perinatal medicine provider in Rochester, New York, licensed in New York (311059) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629238704
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameLYNNETTE MARIE JOHNSONCredential: DO
Location Address601 ELMWOOD AVERochester, NY 14642-5001
Mailing Address601 Elmwood Avenue Box 651Rochester, NY 14642-5001 · (585) 275-2972
Phone(808) 433-6345
Sole ProprietorNo
Enumeration DateJune 12, 2008
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1629238704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 311059
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynnette Marie Johnson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynnette Johnson's NPI number?

The NPI number for Lynnette Johnson is 1629238704. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Lynnette Johnson located?

Lynnette Johnson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (808) 433-6345.

What is Lynnette Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Lynnette Johnson enrolled in Medicare?

Yes. Lynnette Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lynnette Johnson was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.